HomeMy WebLinkAboutLP Permit - Combustible Storage Tank - 316 RALEIGH TAVERN LANE 2/12/2016 h�
fayIP5oawolNORTH ANDOVER t
-" Application for Standard Permit
FP-006 0 Return completed application to: 41
(Rev.04/12)
Permit Number: DIG SAFE NUMBER
City or Town: NORTH ANDOVER
Date: 11/10/15 Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section 10A application is hereby made
by Holden Oil Inc. (978) 531-2984
(Full Name of Person,Firm or Corporation) (Phone Number)
of 91 Lynnfield Street Peabody MA 01960
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) DELIVER 1-320 GAL LP TANK FOR
HEAT AT 316 RALEIGH TAVERN ROAD/COLTIN RESIDENCE
Name of Competent Operator(if applicable,) / i L,:4- Cert.No. 147C
Date Issued,te}eeted-- By -2/'"
(Signature of Applicant)
Date of expiration Fee Amount Paid$
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FP-006
(Rev.04/12) PERMIT
City or Town: DIG SAFE NUMBER
Date: //Z�
- Start Date:
Permit Number(if applicable):
In accordance with the provisions of M.G.L.Chapter 148,as provided in 10A this permit is granted
to Holden Oil Inc.
(Full Name of Person,Firm or Corporation)
for ) c2 e-- g-.,L
Restrictions:
(T— (Street and#or Describe Location for Adequate Identification)
Fee Paid$ ' This ermi will expire on
Signature of Official Granting Permit: � �` Title r ,
This permit must be conspicuously posted upon the premises =0